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<br /> P6an Revie�nr Check ist for New Structure� / Additions
<br /> Address/ PID/ Legal: � l� � � �� ��
<br /> Description of work: ��
<br /> � Septic review by: Date Approved: / � � � ��
<br /> Zoning review by: � ��,; � .� Date Approved: � ' F9 ��;��
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<br /> Building review by: � � ��� �"��,.�,��_ Date Approved: �. l - �� —� �_�
<br /> Gradin review b ��s s���-s A� � � '
<br /> 9 Y� Date Approved: �.� �� � � ��
<br /> Zoning File#: Resolution#: Resolution Date:
<br /> Zonin District Fire Department Post Office School District
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<br /> Zoning: Lot Are� ' '• /AC � Width: �� Depth: 1�1
<br /> Survey Submitted: �s 0 No �������� ���` Date of Surve : t �'
<br /> y �' ��,�.
<br /> Pro osed Setbacks:
<br /> �` Front ke Rear tree �� E �► ) ( N � E W ) Other Buildings Wetland
<br /> ;
<br /> Side ide
<br /> t z.,�r �Z.' �3 � .�,
<br /> � ` � F
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<br /> Building Defined Height: ��� ° � Building Peak Height: ���`, • � #of Stories Ok?� ES
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<br /> ��� xOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: �- �G ON A SLAB FOUNDATION:
<br /> ' S� RT WITH the distance betweAn}�_ ' �
<br /> s ace floor and the the distance between the slab and the highest
<br /> '�g " P � I ��!< roof peak,the top of the comice of a flat roof,
<br /> �' o� he cornice of a fla1 /�.�� � �the deck line of a mansard roof, or the
<br /> �'� ansard roof,or th, /� /��V !�uppermost point on a round or other arch-type
<br /> �, � or other arch-t e r� 1 n �fl roof
<br /> SUBT�t '� half the distance be� ��� � i � j� _ 1,� half the distance between the highest window
<br /> hi hest roof eak of J� ��� nd hi hest roof eak of a itched roof
<br /> SUBT�2ACT the distance betweei /� � 1 � he distance between the slab and the highest
<br /> �� f� � `,�' s ace floor and the r, � ��
<br /> �°"�0 �, '; p �, xistin rade within the foundation
<br /> the foundation or 101 a� �� �efined building height
<br /> EQUALS C Defined buildin hei I � �
<br /> `J ��.F�4 k tl �`�-'��' �(y���� �� �..���
<br /> s Lot Cove�`age: � ����- _ ,,,,,I� �'��%
<br /> /`n ��as
<br /> Shoreland District MC �� re Setback Bluff
<br /> � YE 0 Yes Go
<br /> Yes � No p N�q
<br /> Permit Setback:
<br /> Hardcover Zones Existin� __ Variance Re uired Cl1P Re uired
<br /> 0-75' `�� �''R' � � Yes � No 0 Yes ❑ No
<br /> 75-250' ' �� �� ��� .' TYPe�s)� Type(s):
<br /> 250-500' �
<br /> �� � �a�� ���.
<br /> 500-1000'
<br /> REMARKS (in-house):
<br /> Updated: 09/11/2009
<br /> z:\forms�plan review checklist.docx
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